Claims Resolution Specialist

3 days ago

Sydney, New South Wales, Australia beBeeClaims Full time $90,000 - $100,000
Casualty Claims Resolution Role

The role of Claims Resolution Specialist is pivotal in delivering high-quality outcomes for medium to high value claims and complex niche products. This involves prompt communication and thorough investigation, reserving, and adjustment of claims lodged by insureds or third parties.

  • Manage a portfolio of liability claims in accordance with best practice guidelines.
  • Analyse first report to determine nature of loss, coverage provided and scope of injury/damage.
  • Conduct investigations of all aspects of reported claims including potential fraud. Secure and/or file all supporting documentation and verify same for accuracy, relationship and completeness.
  • Establish accurate and timely reserves.
  • Provide exceptional service standards in line with best practice guidelines.
  • Maintain an active diary. Monitor same to achieve timely development of the file and timely disposition of the claim.
  • Promptly and properly document all developments on claim file.
  • Exercise good judgement in reaching final disposition of claim by evaluating nature of loss, liability, injury/damage, coverage provided and applicable limits.
  • Effectively negotiate compromise settlements where appropriate.
  • Effectively communicate with various stakeholders including claim department, customer services, loss control, underwriting departments, finance departments, brokers, insureds, service providers, third parties and/or their legal representatives.
  • Recognise and pursue subrogation where applicable.
  • Adhere to relevant statutory rules and regulations.
  • Adhere to company's legal, regulatory and internal compliance obligations.
  • Effectively control the use, work product and expense of outside vendors.
  • Any other duties as required by the Manager.
Requirements:
  • Relevant tertiary or insurance industry qualifications.
  • Minimum of 2 years liability claims experience.
  • Broad knowledge of insurance industry and claims processes.
  • Written and verbal communication skills.
  • Workflow management skills.
  • Proven team player.
What We Offer:

We offer a dynamic and agile environment where continuous development is encouraged throughout your career. A flexible working approach allows employees to thrive in a supportive culture.

Employees are empowered to take ownership of their work and make meaningful contributions to the organisation. A strong focus on innovation and excellence drives business success.

A comprehensive benefits package ensures employees' physical and mental well-being. Opportunities for growth and development support employees in achieving their career aspirations.

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